Gordon, Glenn Robert

Gordon, Glenn Robert is an individual health care provider with primary practice located at 150 Congress St , Rumford ME 04276-2035. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gordon, Glenn Robert can be contacted via phone (207) 357-1751.

Contact Information

Primary practice address
150 Congress St Rumford ME 04276-2035
Phone: (207) 357-1751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC8262 Maine

Profile Details

NPI number 1063264083
LBN Legal business name Gordon, Glenn Robert
Credentials LADC, MHRT-CSP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2024
Last updated Apr 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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